CMS Formulary

Displaying 2541-2550 of 1611142 results.
ID: 2541
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1722934
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2542
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1807632
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2543
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1795609
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2544
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1795477
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2545
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 581531
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2546
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2371050
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 2547
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2371054
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 2548
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2371058
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 2549
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2371062
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 2550
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2371066
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30